Competency-Based Care & Facility Assessments: A Compliance Guide for F726 and F838
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Competency-Based Care & Facility Assessments: A Compliance Guide for F726 and F838
Stefanie Corbett, DHA, postacute regulatory specialist for HCPro
Skilled nursing facilities must be careful—no longer can administrators assume that competency of staff is handled through routine training. Facilities need proper competency assessment and documentation, and management must always be up to date. Competency-Based Care & Facility Assessments: A Compliance Guide for F726 and F838 provides guidance on assessing what your facility needs and determining whether staff are meeting those needs.
CMS updated F-tag 726 and F-tag 838, which require facilities to complete facility assessments annually—to identify specific competencies staff need, and to ensure adequate training and education. This book helps leaders tie competency into staff accountability and provides a road map for new competency development.
With an explanation of how to stay compliant, how to properly conduct assessments, and how to develop a competency-based training program, plus more than 100 competency assessments, forms, and checklists, this resource is everything long-term care leadership needs.
This book features:
- Training for staff educators and managers on performing competency validation
- Assessment tools to develop your nurses’ and CNAs’ skill sets for more than 100 competencies
- Time-saving strategies and a template for conducting a facility assessment per Conditions of Participation requirements
- Guidance for mitigating risk of survey deficiencies associated with nursing staff competency and facility assessments (F726 and F838)
- Tips for differentiating between orientation checklists and skills checklists
Click here to access chapter previews.
Published: March 2019
Dimensions: 8.5” X 11”
Page count: 230
ISBN: 978-1-68308-880-6
Table of Contents
Introduction
Chapter 1: Why Is Competency Validation Required?
CMS Conditions of Participation
F726 Competent Nurse Staffing and F838 Facility Assessment
Additional Regulatory Agencies That Require Competency Assessment
Facility Competency Initiatives
Chapter 2: What Is Competency Validation?
Classifying Competencies by Domains and Levels
Who Performs Competency Validation?
Mandatory Training vs. Competencies
Methods for Validating Competencies
Chapter 3: Completing a Facility Assessment to Determine Competency Focus Areas
How Often Should the Facility Assessment Be Completed?
Who Should Complete the Facility Assessment?
Action Steps for Completing the Facility Assessment
How to Use the Facility Assessment Findings
Concluding Your Facility Assessment and Preparing for Surveyor Scrutiny
Evaluate Your Process and Plan for Future Assessments
Chapter 4: Competency Validation as an HR Function
Competency Validation Begins Prior to Hire
Job Descriptions
Performance Evaluations
Chapter 5: Train Staff to Perform Competency Validation
Developing a Competency Assessment Training Program
Identifying Competency Assessors
Keeping Your Validation System Consistent
Incorporating Population-Specific Competencies
Documentation and Recordkeeping
Chapter 6: Keep Up With New Competencies
Potential Categories for New Competencies
Guidelines for New Competency Development
Best Practices for the Implementation of New Competencies
Chapter 7: Using Skills Checklists
Differences Between Orientation Checklists and Skills Checklists
Skills Checklists for Annual Competency Assessment
The Competencies Analyzer
Chapter 8: Competency Assessment Tools
More than 100 competency assessment tools
Appendix A: QIO Facility Assessment Tool
Appendix B: Nurse Assessment Toolkit by CMS and CMPRP
Overview
Behavioral Competencies
Advocacy
Communications
Conflict resolution
Education and training
Ethics
Leadership
Problem solving
Professionalism
Teamwork and collaboration
Time management and adaptability
Technical Competencies
Activities of daily living
Admission, transfer, and discharge
Detecting resident change in condition
Documentation
Infection control and prevention
Medication administration
Pain evaluation and management
Person-centered care
Quality Assurance Performance Improvement (QAPI)
Resident evaluation
Resident-Based Competencies
Managing chronic obstructive pulmonary disease
Managing congestive heart failure
Managing dementia/cognitive impairment
Managing diabetes mellitus
Managing residents with impaired mobility
Managing mental health
Managing and preventing pneumonia
Managing and preventing pressure ulcers/injuries
Managing and preventing resident falls
Treating and preventing urinary incontinence
Treating and preventing urinary tract infections
Appendix C: CNA Assessment Toolkit by CMS and CMPRP
Overview
Behavioral Competencies
Advocacy
Communications
Conflict resolution
Education and training
Ethics
Leadership
Problem solving
Professionalism
Teamwork and collaboration
Time management and adaptability
Technical Competencies
Activities of daily living
Admission, transfer, and discharge
Detecting resident change in condition
Documentation
Infection control and prevention
Medication administration
Pain management
Person-centered care
Quality Assurance Performance Improvement (QAPI)
Resident-Based Competencies
Managing chronic obstructive pulmonary disease
Managing congestive heart failure
Managing dementia/cognitive impairment
Managing diabetes mellitus
Managing residents with impaired mobility
Managing mental health
Managing and preventing pneumonia
Managing and preventing pressure ulcers/injuries
Managing and preventing resident falls
Treating and preventing urinary incontinence
Treating and preventing urinary tract infections
Appendix D: Additional Competency Assessment Tools
Bloodborne Pathogens and Standard Precautions
Communication
Cultural Diversity
Elder Abuse
End of Life
Ethics
HIPAA
Infection Prevention for Standard Additional Precautions
Lifting and Transferring
Mental Illness
Pain Management
Preventing Readmission to Hospitals
Professionalism and Accountability
About the Author
Stefanie Corbett, DHA, is a healthcare educator, consultant, researcher, and author with extensive senior healthcare leadership experience. She is an advisor and consultant for skilled nursing facilities, and develops training resources, including seminars, eLearning, webcasts, books, articles, and newsletters. She teaches HCPro’s Medicare Boot Camp®—Long-Term Care Version, the Long-Term Care Administrator’s Boot Camp®, and the Skilled Nursing Facility Billing Boot Camp®. She is a member of the Editorial Advisory Board for HCPro’s Billing Alert for Long-Term Care. She is the author of The Theft Prevention Guide for Senior Living, as well as Long-Term Care Quality Measures: A Guide to Data Analysis, Performance Improvement, and Public Reporting. She is the co-author of the SNF Compliance and Ethics Toolkit.
